Board of County Commissioners Jennifer Roberts, Chair Parks Helms, Vice Chair Karen Bentley J. Daniel Bishop Dumont Clarke Bill James Norman A. Mitchell, Sr. Dan Ramirez Valerie C. Woodard Board of County Commissioners Board of County Commissioners Jail Diversion Model Program Jail Diversion Model Program February 20, 2007 February 20, 2007 Area Mental Health Authority Vision “A community system that empowers and supports individuals to lead healthy and independent lives” County Manager Harry L. Jones, Sr. General Manager Janice Allen Jackson Area Mental Health Authority (AMHA) Grayce Crockett, Director Provided Services Organization (PSO) Connie C. Mele, Director
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Board of County Commissioners Jennifer Roberts, Chair Parks Helms, Vice Chair Karen Bentley J. Daniel Bishop Dumont Clarke Bill James Norman A. Mitchell,
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Board of County Commissioners
Jennifer Roberts, ChairParks Helms, Vice ChairKaren BentleyJ. Daniel BishopDumont ClarkeBill JamesNorman A. Mitchell, Sr.Dan RamirezValerie C. Woodard
Board of County CommissionersBoard of County CommissionersJail Diversion Model ProgramJail Diversion Model Program
February 20, 2007February 20, 2007
Area Mental Health Authority Vision“A community system that empowers and supports individuals to lead healthy and independent lives”
County ManagerHarry L. Jones, Sr.
General ManagerJanice Allen Jackson
Area Mental Health Authority (AMHA)Grayce Crockett, Director
Provided Services Organization (PSO)Connie C. Mele, Director
Why Jail Diversion?Why Jail Diversion?
Incarceration is a poor and an expensive solution for addressing mental illness/substance abuse when there are best practice models available.
The ModelThe Model
The Mecklenburg County Jail Diversion Model is a comprehensive, coordinated delivery system which will identify, divert from incarceration, and treat the mentally ill/substance abuser who is placed, or about to be placed, within the Criminal Justice System.
CollaborationCollaboration
Active partnership with all stakeholders Sheriff’s Office CMPD Area Mental Health Mobile Crisis Behavioral Health Center-Randolph Mental Health Court Public Defender’s Office National Alliance of Mentally Ill Homeless Services Network
Features of the ModelFeatures of the Model
Early Intervention (Crisis Intervention Team) Early Screening & Assessment (Mobile Crisis) Crisis Center (Up to 7 days) Residential Stabilization (Up to 90 days) Housing/Treatment Services (multi-level
program)
There will be integrated coordination with Mental Health/Substance Abuse and Judicial points of access, including Mental Health Treatment Court.
Goal of the ModelGoal of the Model
The Jail Diversion Model will divert the mentally ill/substance abuser from incarceration to the appropriate services that will treat the illness in the least restrictive and most clinically appropriate setting while also addressing legal issues and criminal behavior.
General StatisticsGeneral Statistics
64% of County jail inmates report having a mental health problem.
(Bureau of Justice Statistics, September 6, 2006)
It is estimated that 70% of people in state prisons and local jails have abused drugs regularly, compared with 9% of the general population.
(Charlotte Observer, August 31, 2006)
General StatisticsGeneral Statistics People with mental illness spend two to
five times longer in jail (at a cost of $109 per day) and often can’t make bail. About 1/3 of people with mental illness in jail were homeless before incarceration.
More than 72% of people with severe mental illness who are in jail have a co-occurring substance abuse disorder.
More than 4% of men in jail suffer from Schizoprehenia or Bipolar Disorder compared to 1% of the general population.
National Program National Program StatisticsStatistics
Seattle, Washington: $1.1 million spend in one year for 20 seriously mentally ill patients repeatedly jailed, hospitalized or admitted to crisis centers. ($55, 000 per person)
San Antonio, Texas: A recent report from a diversion program stated that they saved the county $4 million in incarceration costs and has diverted 4,100 people since September 2005.
National Program National Program StatisticsStatistics
• Phoenix, Arizona: 9% Recidivism Rate
• Chicago, Illinois/Thresholds Jail Program: 30 individuals that completed the program were followed for 1 year with these results:
1. Decreased days in jail by 2,200 days2. Decreased days in hospital by 2,100
days3. Savings realized for Chicago:
$1,204,000
North Carolina North Carolina StatisticsStatistics
The 2007NC Jails and Inmates with
Mental Illness and Developmental Disabilities
Studyrecommended that Programs
are needed to prevent unnecessary incarceration
AMH Jail Data ReportAMH Jail Data Report
On July 2, 2007:• 2,688 inmates in jail at the time of
the report• 1,087 inmates in the AMH Data
System (currently in treatment or recently in treatment)
• 36% of the inmates had a mental health diagnosis or a co-occurring diagnosis
Mecklenburg County Jail Study Mecklenburg County Jail Study #1#1
Inmate Self Report Needs Survey(October, 2006)
A face-to-face survey with 352 randomly selected inmates booked into the Mecklenburg County Jail
• 23% received mental health services• 17% were hospitalized for mental health
issues• Of the inmates with mental health issues,
60% had a history of drug problems & 41% had a history of alcohol problems
Based on the above data, an estimated 13,700 inmates would require mental health treatment over the course of a year.
Mecklenburg County Jail Study Mecklenburg County Jail Study #2#2
Chronic Offender Study(January 2007)
Analysis of 81 offenders booked into the Mecklenburg County Jail an average of nine times during 2005
• 783 bookings for 1,567 charges
• 7,440 days incarcerated
• 85% given credit for time served (3 days) when guilty
• 83% had a history of services with AMH
• Estimated 2005 cost: $1.12 to $1.58 million
What’s Wrong With This What’s Wrong With This Picture?Picture?
Crisis Intervention
Team
Mental Health Court
Treatment
Services
Crisis Center
Residentia
l
Stabilizatio
n
Housing Mobile Crisis
Team
Case
Managem
en
t
Crisis Intervention TeamCrisis Intervention Team
Crisis Intervention Team (CIT) is a model that will be implemented in partnership with CMPD as a specialized police response team for situations involving the mentally ill.
Crisis Intervention Team
The overall goal is to treat mental illness as a disease not a crime
Mobile Crisis TeamMobile Crisis Team
Responds when called by CIT or CMPD patrol officers
Provides on-scene response, assessment, interventions and determination of need for other services
Mobile Crisis Team
Mobile Crisis Team (MCT) works with the Crisis Intervention Team (CIT) to determine if a consumer is appropriate for the Crisis Center
Crisis CenterCrisis Center
A secure facility which acts as a portal of entry for assessment and stabilization of the mentally ill and/or substance abuser in crisis
Staffed 24/7 with an interdisciplinary treatment team
Linkage to other community services after crisis stabilization
Services Provided at the Facility: Medication Stabilization and Management Case Management Mental Health/Substance Abuse Treatment Life Skills/Vocational Support AA/NA 12-Step Group
Length of Stay: Up to 90 days
Residential
Stabilization
Case Managemen
t
Housing/TreatmentHousing/Treatment
Services Provided May Include: Medication Management Case Management Mental Health/Substance Abuse Treatment Life Skills/Vocational Support
A multi level program that provides residential housing
treatment services designed to promote independent living
Housing
Treatment Services
Mental Health CourtMental Health Court
Increases consumer compliance with mental health treatment
Decreases jail and treatment costs to mentally ill offenders by providing coordination of services among all agencies
Mental Health Court
Post Booking Services/MH CourtPost Booking Services/MH Court
Jail Diversion LiaisonAssesses the mentally ill person admitted to
jail to determine appropriate service and Mental Health Court involvement
Social Worker in Public Defender’s OfficeAssesses and refers mentally ill,
developmentally disabled and substance abusing defendants so they can receive appropriate treatment services while in the criminal justice system
(For Persons Already in Jail)
The Complete PictureThe Complete Picture
Housing
Crisis Center
Residential Stabilization
Mobile Crisis Team
Crisis Intervention Team
Treatment Services
Mental Health Court
Case Managemen
t
NEXT STEPSNEXT STEPS
Visit Wake County Crisis Intervention Team (CIT) Program in March 2007
Visit a program that has an effective Jail Diversion Continuum
Cost Analysis of ContinuumPresent funding proposal for 2008 budget approval